Kipp, Victoria

Kipp, Victoria is an individual health care provider with primary practice located at 3857 Martin Way E , Olympia WA 98506. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Kipp, Victoria can be contacted via phone (360) 704-7170.

Contact Information

Primary practice address
3857 Martin Way E Olympia WA 98506
Fax: (360) 704-7182
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528598117
LBN Legal business name Kipp, Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528598117 NPPES
Washington MEDICAID 100173

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